Individual
MARK E GUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00043252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184015
LABOR AND INDUSTRY
WA
05
—
8385270
—
WA
01
—
MD00043252
STATE LICENSE NUMBER
WA
01
—
P00165588
RAILROAD MEDICARE
WA
Enumeration date
05/28/2006
Last updated
02/06/2014
Update your record
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